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General NPI Number Information
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NPI Number | 1497919237
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Entity Type | Individual
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Provider Name | WHITNEY K SELF GILBERT PT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 4225 EMERSON DR
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City | PLANO
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State | TX
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Zip | 75093-6608
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Country | US
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Telephone | 972-816-9580
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Fax | 469-241-0169
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Provider Business Mailing Address
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Address Line | 4225 EMERSON DR
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City | PLANO
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State | TX
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Zip | 75093-6608
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Country | US
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Telephone | 972-816-9580
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Fax | 469-241-0169
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1068047
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License Number State | TX
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